The nurse, caring for a pediatric client diagnosed with ...

[karateprodigy]

The nurse, caring for a pediatric client diagnosed with depression, would expect that which of the following medications would be prescribed?
 
  1. Sertraline HCL (Zoloft)
   2. Fluoxetine HCL (Prozac)
   3. Clomipramine HCL (Anaframil)
   4. Fluvoxamine maleate (Luvox)

Question 2

A client being treated for depression tells the nurse that he has more desire to get out of bed and has been showering every day, eating, and has contacted several family members to talk. The nurse realizes this client is demonstrating:
 
  1. Risk factors for self-harm.
   2. Denial of the diagnosis of depression.
   3. The need for assistance with activities of daily living.
   4. Improvement in depression.

[Swizqar]

Answer to Question 1

2. Fluoxetine HCL (Prozac)

Rationale:
Fluoxetine is approved for use in pediatrics for treatment of depression. Sertraline HCL is approved for obsessive-compulsive disorder, not depression. Clomipramine HCL has been approved for treatment of obsessive-compulsive disorder, not depression. Fluvoxamine maleate is approved for treatment of obsessive-compulsive disorder, not depression.

Answer to Question 2

4. Improvement in depression.

Rationale:
The client states he has more of a desire to get out of bed and is showering, eating, and contacting family members to talk. These are all indications that the client's depression is improving. This is not an indication of risk for harm, denial of the diagnosis, or the need for assistance with activities of daily living.